The nurse is performing a home assessment to determine if a ...

[Lobcity]

The nurse is performing a home assessment to determine if a client's home environment is appropriate for long-term rehabilitation from burns.
 
  Which of the following are priority considerations when choosing a home environment? Select all answers that apply. A) Proximity to a medical center
  B) Financial resources
  C) Adequate insurance
  D) Safety considerations
  E) Available caregivers
  F) Community support

Question 2

The nurse is caring for a 45-year-old male client following amputation of his right leg, which was crushed in a fall. Which of the following is a nursing consideration for this client?
 
  A) Change the compression bandage at least once a day.
  B) Wrap the stump so that it forms a rounded shape.
  C) Change the dressing using clean technique.
  D) Encourage the client to lie in a prone position.

[dpost18]

Answer to Question 1

B, D, E
Feedback:
Clients and their families are vital members of the healthcare team. A home assessment evaluates the home environment and helps determine the appropriateness and possibility of considering home-based rehabilitation. The family will need a safe environment, available caregivers, and financial resources to make adaptations to the home that may be needed. Proximity to a medical center, adequate insurance, and community support are important, but are not the priority considerations when choosing home rehabilitation.

Answer to Question 2

D
Feedback:
The nurse should encourage the client who has had a leg amputated to lie in a prone position, rather than on the back. Two sets of compression bandages are needed following amputation so that bandages can be changed at least twice per day, or more often if a client perspires freely. The stump should be wrapped so it forms a cone shape and the dressing should be changed using aseptic technique.